MATTHEW WALLACE
NPI 1639811136
Psychologist in Folsom, CA

Active since April 13, 2022
525 WILLARD DR APT 1634, FOLSOM, CA 95630(818) 661-7882 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Matthew Wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW WALLACE (NPI 1639811136) is an individual psychologist in Folsom, California, licensed in California (33214) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1639811136
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMATTHEW WALLACE
Location Address525 WILLARD DR APT 1634Folsom, CA 95630-4073
Mailing Address525 Willard Dr Apt 1634Folsom, CA 95630-4073 · (818) 661-7882
Sole ProprietorNo
Enumeration DateApril 13, 2022
NPPES CertifiedApril 13, 2022
NPI 1639811136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · 33214
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
525 WILLARD DR APT 1634, Folsom, CA 95630

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Wallace's NPI number?

The NPI number for Matthew Wallace is 1639811136. It was assigned to this individual provider in the NPPES registry on April 13, 2022.

Where is Matthew Wallace located?

Matthew Wallace practices at 525 Willard Dr Apt 1634, Folsom, CA 95630. The listed phone number is (818) 661-7882.

What is Matthew Wallace's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Matthew Wallace was last updated on April 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.